About this trial
Substance P is a signaling molecule that has been implicated in the pathogenesis of headache. This study aims to ascertain whether administration of substance P can induce headache in healthy adults.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Age 18 to 65 years of age upon entry into screening
A body weight of 50 to 100 kg
Provision of informed consent prior to initiation of any study-specific activities/procedures.
Disqualifiers
Any history of a primary or secondary headache disorder, except for infrequent episodic tensiontype headache
Any first-degree relatives with a history of a primary headache disorder, except for infrequent episodic tension-type headache
Any history of moderate to severe traumatic brain injury
Any history of cardiovascular disease, including cerebrovascular diseases
Trial design
Crossover
Treatments tested in this trial
Substance P
DrugThe participants will receive a continuous intravenous infusion of 20 mL of substance P (1.5 pmol/kg/min) over 20 minutes.
Placebo
DrugThe participants will receive a continuous intravenous infusion of 20 mL of placebo (isotonic saline) over 20 minutes.
Treatment groups
Trial outcomes
Primary outcomes
Incidence of Headache
The primary outcome is the difference in the incidence of headache\* between substance P and placebo during the 12-hour observational period after infusion start. \* The intensity of headache is rated by the subject on the 11-point numerical rating scale (0 being no headache, 10 being the worst imaginable headache).
Secondary outcomes
Headache Intensity Scores
The secondary outcome is the difference in the area under the curve for median headache intensity scores between substance P and placebo during the 12-hour observational period after infusion start.
Other outcomes
Dilation of the Superficial Temporal Artery
The difference in area under the curve for relative STA dilation between substance P and placebo from the start of infusion to 2 hours after the infusion.
Blood Flow Velocity in the Middle Cerebral Artery
The difference in area under the curve for change in MCA mean blood flow velocity between substance P and placebo from the start of infusion to 2 hours after the infusion.
Sponsors and contacts
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